A lead extraction procedure commenced to remove a right atrial (ra) and a right ventricular (rv) lead due to non function.A spectranetics lead locking device (lld) was inserted into the rv lead to provide traction.The physician used a spectranetics 13f tightrail rotating dilator sheath along with the lld and the rv lead was removed successfully.However, when the lead came out of the body it was noted that there was part of the tricuspid leaf that came out along with the lead.No hemodynamic changes were noted in the patient.The ra lead was then successfully removed.The procedure was completed and the patient survived.The surgeon is going to do a tricuspid valve transcatheter aortic valve replacement (tavr) on this patient at a later time, so tricuspid regurgitation is suspected.This report captures the lld providing traction to the rv lead when part of the tricuspid leaf came out along with the lead.There was no alleged malfunction of any spectranetics devices in use during the procedure.
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Patient date of birth unk.Patient's weight unk.Patient's ethnicity/race unk.Relevant tests/laboratory data unk.Other relevant history unk.Device lot number, expiration date unk.The device was discarded, therefore no investigation could be completed.Device manufacture date unk because lot number unk.
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